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Advancement of Surgical Visualization Methods: A Comparison Study between Traditional Microscopic Surgery, the Endoscope and a Novel Robotic Optoelectronic
Visualization Tool for them Transnasal Transsphenoidal Approach to the Sellar Region

With the entrance of the video microscope over the recent few years
into the microsurgery optical field, a third modality has emerged
alongside the endoscope and operating microscope to accomplish
some of the microsurgical procedures. One such approach
that could potentially utilize any of the three is the transnasal
transsphenoidal (TNTS) approach that provides access to the
anterior brainstem, the anterior skull base, and of course the sellar
region. Here, we provide a descriptive comparison of the three
modalities on cadaveric specimens with joint ENT and neurosurgery
teams performing the approach. Each provides unique advantages
and disadvantages as part of the surgeon’s optical armamentarium.
As more optical devices become available to surgeons, selection
of the optimal device can present a challenge best compared by
head-to-head comparison. The aim of this paper is to compare
these modalities for the TNTS approach.

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